Healthcare Provider Details

I. General information

NPI: 1417008491
Provider Name (Legal Business Name): VACCA DISCOUNT DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7633 GEORGIA RD
BIRMINGHAM AL
35212-2925
US

IV. Provider business mailing address

7633 GEORGIA RD
BIRMINGHAM AL
35212-2925
US

V. Phone/Fax

Practice location:
  • Phone: 205-956-3300
  • Fax: 205-956-8791
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number109878
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN VACCA
Title or Position: OWNER
Credential:
Phone: 205-956-3300